HomeMy WebLinkAboutBLD2020-00447 Deck - BLD Application - 4/18/2020 MASON COUNTY COMMUNITY SERVICES Permit No:'60 Zo20- c4,
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 RECEIVED
Phone Shelton:(360)427-9870 ext 352•Fax(360)427-7798 Phone
Belfair(360)275-4467•Phone Elma:(360)482-5269
� DING P RMITAPPLICATION APR 18 2020
PROPERTY OWNER INF R TION: CONTRACTOR INFORMA�LQAI:VIIJW A I d G r S r@ @t
NAME: Norm Swick NAME:
MAILING ADDRESS: 2922 W Vewmont Way W MAILING ADDRESS:
CITY: .Seattle STATE: WA ZIP:98199 CITY: STATE: ZIP:
PHONE#1:206-715-1 o2g PHONE: CELL:
PHONE#2: EMAIL:
EMAIL: L&I REG# EXP.
PRIMARY CONTACT: OWNER[g CONTRACTOR❑ OTHER❑
NAME Norm Swick EMAIL normsvdck49@gmail.com
MAILING ADDRESS 2922 W Vewmont Way W CITY$e8ttle STATE WA ZIP 98199
PHONE 206-715-1029 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32232-54-Ml l ZONING
LEGAL DESCRIPTION(Abbreviated) MADRONA INC TR11&T.L. FIRE DISTRICT
SITE ADDRESS 50 E Madrona Beach lane CITY Union
DIRECTIONS TO SITE ADDRESS North on 101 to Hwy 106-Follow 106 thru Union-Approx..5-1 mile past Union Madrona Beach Lane
on Left flAlata side)
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑X �a
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall tlmtapply):
SALTWATER x❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR X❑ OTHER ❑
USE OF STRUCTURE(Residence,GanW,Comwetrial Bldg,Eta)Deck
IS USE: PRIMARY❑ SEASONAL® NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(WholeBldgl❑ YES(Pants)ofB/dg)❑ NO
DESCRIBE WORK F)dsbng Deck Replacement(Exact Same Footprint)
SQUARE FOOTAGE:(pmpa.,4
1ST FLOOR sq.ft 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft
DECK 805 sq.ft COVERED DECK sq.ft STORAGE sq.& OTHER sq.ft
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC® SEWER❑ / NEW❑ EXISTING
PLUMBING IN STRUCTURE? YES❑ NO® Ifyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NON EXISTING SQ.FT.
EXISTING BEDROOMS No Change PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE14.08.42) G I(�
x 3-18-2020 - CA(f(6L � {- `A�t� IV4-
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DA E DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT Lek 026
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
RECEIVED
._ANNING:
ALA ,'S ARE MEASURED PUNNINO
-HE FURTHEST APR 18 2020
P' THE BUILDING 615 W. Alder Street
XIST. CARIMORT
•
/ EXI3T. DRAINFIELD
`�• PEF: COUNTY RECORDS PARCEL NO.:
`�• tiXIST. SEPTIC TANK - PER 32232-54-Omm11
•� r , COUNTY RECORDS LEGAL DESCRIPTION:
MADR N O A IN C
c AMC �nnT� iT TR11 4 T.L.
SITE ADDRESS:
50 E MADRONA BEACH LANE
co 258, UNION, WA 98592
APPROVED
�•• 41ASON COUNTY COCD pLjWNING
EXIST. �•� SITE PLAN Pd-..QUUWD TO BE ON SITE
RESIDENCE CHAMMS BU BJET TO APPROVAL
left�•- HOOD CANAL ••
mft-ftft
8'+ �••� ly3
aft"amf� Q
SITE PLAN
SCALE: 1" = 20'-0"
�lG� 2a20 66 4'� NORTH
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